颏下皮瓣口腔重建中毛发问题的处理方案
A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap.
作者信息
Rahpeyma Amin, Khajehahmadi Saeedeh
机构信息
Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Blvd, P.O. Box: 91735-984, Mashhad, Iran.
Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Blvd, P.O. Box: 91735-984, Mashhad, Iran.
出版信息
J Maxillofac Oral Surg. 2017 Mar;16(1):108-112. doi: 10.1007/s12663-016-0925-3. Epub 2016 Jun 4.
BACKGROUND
Submental flap is a useful aid in maxillofacial reconstruction. For intraoral usage the hairs in male patients will create some problems.
MATERIALS AND METHODS
In a retrospective study, patients in whom submental flap had been used for reconstruction of orofacial region between 2007 and 2013, in the Mashhad University, Ghaem Hospital, were included. The ways in which the problem of hairs was solved in male patients were evaluated.
RESULTS
There were 42 patients in whom submental flap was used for orofacial reconstruction. Sixty percent were males. Three ways had been used for management of intraoral hairs: radiotherapy (9 patients), second surgery (2 patients) and flap de-epithelialization (13 patients).
CONCLUSION
Deepithelialized variant of submental flap is the best option when submental flap is used for oral cavity reconstruction in male patients. Flap thickness, age, race and postoperative radiotherapy can have strong influence on this strategy.
背景
颏下皮瓣在颌面重建中是一种有用的辅助手段。对于口腔内使用，男性患者的毛发会带来一些问题。
材料与方法
在一项回顾性研究中，纳入了2007年至2013年期间在马什哈德大学加姆医院使用颏下皮瓣进行口面部区域重建的患者。评估了男性患者中毛发问题的解决方式。
结果
有42例患者使用颏下皮瓣进行口面部重建。其中60%为男性。有三种方法用于处理口腔内毛发：放疗（9例患者）、二次手术（2例患者）和皮瓣去上皮化（13例患者）。
结论
当颏下皮瓣用于男性患者口腔重建时，去上皮化的颏下皮瓣变体是最佳选择。皮瓣厚度、年龄、种族和术后放疗对该策略有很大影响。
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